7-15

Question 1

how does the LV maintain CO in the setting of aortic regurg?

Answer 1

inc compliance (eccentric hypertrophy)

Question 2

treatment of acute aortic dissection

Answer 2

• pain control
• IV BB’s
• sodium nitroprusside if SBP>120
• surg repair for asc dissection

Question 3

HIV pt w/ fever, CN-VI palsy, enlarged ventricles w/o mass lesions

Answer 3

crypto meningoencephalitis

Question 4

megaloblastic anemia w/ peripheral neuropathy

Answer 4

B12

Question 5

lambert eaton

Answer 5

Abs against presynaptic voltage gated Ca2+ channels

Question 6

treatment for febrile neutropenia

Answer 6

anti-pseudomonal

-cefepime, meropenem, pip-tazo

Question 7

recurrent oral & genital aphthous ulcers, uveitis, erythema nodosum

Answer 7

Behcet syndrome

Question 8

chagas dz is caused by?

Answer 8

protozoan: trypanosoma cruzi

Question 9

SJS vs TEN

Answer 9

SJS is <10% of body surface area

Question 10

umbilicus is at what dermatome?

Answer 10

T10

Question 11

calcium disodium EDTA is treatment for what?

Answer 11

lead poisoning (chelation)

Question 12

vax for chronic liver dz

Answer 12

HAB, HBV, flu, pneumo, Tdap

Question 13

stroke w/ contralateral sensory loss

Answer 13

posterolateral thalamus

Question 14

isolated intention tremor

Answer 14

essential tremor

Question 15

treatment for essential tremor

Answer 15

propranolol

Question 16

dullness to percussion, inc breath sounds, and inc tactile fremitus

Answer 16

lung consolidation

Question 17

COPD therapy that prolongs survival in pts w/ sig chronic hypoxemia

Answer 17

long-term supplemental O2 therapy

Question 18

pt w/ hypoalbuminemia might have hypo__

Answer 18

calcemia - 45% free Ca is bound to albumin

Question 19

lab workup for SLE

Answer 19

ANA (sensitive) then anti-dsDNA (specific)

Question 20

necrolytic migratory erythema, weight loss, diarrhea

Answer 20

glucagonoma (NME has painful/pruritic papules that coalesce)

Question 21

treatment for ethylene glycol tox

Answer 21

fomepizole or ethanol (inhibits alc dehydrogenase)

Question 22

high AG met acidosis w/ Ca oxalate crystals in urine

Answer 22

ethylene glycol ingestion

Question 23

treatment that can worsen graves ophthalmopathy

Answer 23

radioactive iodine

Question 24

tx for chronic venous insufficiency

Answer 24

leg elevation, exercise, compression socks

Question 25

symmetrical proximal muscle weakness, erythematous rash over dorsum of fingers and/or eyelids

Answer 25

dermatomyositis

Question 26

HIV esophagitis w/ severe odynophagia w/o dysphagia or thrush

Answer 26

viral esophagitis (HSV, CMV)

Question 27

1st line tx for chemo-induced N/V

Answer 27

5HT antagonists (zofran)

Question 28

1 tx assoc w/ mortality benefit + reduced progression of COPD

Answer 28

smoking cessation (O2 also helpful)